performance improvement in a nuclear laboratory setting

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Performance Improvement in a Nuclear Laboratory Setting. Kathy Smith Director, PINO AECL, Chalk River Labs 2011 September. Agenda. What/who is AECL?? PINO? The model Corrective Action Program Human Performance Program Where are we going next? Questions. - PowerPoint PPT Presentation

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AECL corporate power point presentation template

Performance Improvement ina Nuclear Laboratory SettingKathy SmithDirector, PINOAECL, Chalk River Labs2011 SeptemberAECL - OFFICIAL USE ONLY / USAGE EXCLUSIF - EACL1AgendaWhat/who is AECL?? PINO?The modelCorrective Action ProgramHuman Performance ProgramWhere are we going next?Questions2AECL - OFFICIAL USE ONLY / USAGE EXCLUSIF - EACL3Atomic Energy of Canada LimitedEstablished in 1952 to lead the Canadian nuclear industry.Over 4,900 employees located across many sites.CANDU recognized as one of the top 10 major engineering achievements of the past century in Canada.Currently undergoing a significant restructuring with a re-focus to a Science and Technology organization (Canadas National Nuclear Lab).

AECL - OFFICIAL USE ONLY / USAGE EXCLUSIF - EACL3Nuclear Power Plant Division (AECL CANDU) est. 1954

5 Facilities and Offices across Canada SP,CR,Ottawa,Montreal, Whiteshell.

Royal Engineering Society Top 10 engineering feats; (including Canadian-Pacific Railway; Canadarm Space Arm)

Advanced Project Management Past 10 Projects; On-time, On-Budget Qinhsan III: Record Project112 Days ahead of schedule, $187 Million under budget)

Advanced R&D Facilities in Chalk River, Ontario Unique to IndustryWaste Management ResearchResearch ReactorsIsotope Production for MDS Nordion (Medical Applications:Cobalt 60, 70% of Industry output)4Key Chalk River Activities

Reactor DevelopmentCRL Nuclear OperationsResearch & DevelopmentIsotope ProductionWaste Management & DecommissioningAECL - OFFICIAL USE ONLY / USAGE EXCLUSIF - EACLPerformance Improvement and Nuclear Oversight (PINO)Established as an organization in mid 2006Key to continuous improvement Built on the framework of the Operating Experience ProgramProvides insights to senior management on areas of performance vulnerabilitiesSupports the operating license requirementsReports to the Senior VP through the GM for Programs and Nuclear Oversight.5AECL - OFFICIAL USE ONLY / USAGE EXCLUSIF - EACLPINO Organization6

Dedicated team of auditors conduct performance based audits based on risk.Team provides oversight to the team of advocates and supports the use of Error Precursor Tools (Event Free Tools EFTs) across the labs.Staff responsible for:Corrective Action ProgramTrendingBenchmarkingSharing of OPEX/OEChange Management

AECL - OFFICIAL USE ONLY / USAGE EXCLUSIF - EACL Continuous Improvement Model

Number of EventsRules & proceduresQuality Management Error Prevention - Human Performance Quality ControlQuality Assurance 1960s1980s1990sHuman FactorsAECL - OFFICIAL USE ONLY / USAGE EXCLUSIF - EACL

778

AECL - OFFICIAL USE ONLY / USAGE EXCLUSIF - EACLThe Corrective Action Program9AECL - OFFICIAL USE ONLY / USAGE EXCLUSIF - EACL10ImpAct is the name chosen for the problem identification and corrective action program in NL and comes from the words Improvement and Action.

ImpAct is a blameless program to capture information and take appropriate action to improve performance and prevent occurrence/ recurrence of significant events.

ImpActAECL - OFFICIAL USE ONLY / USAGE EXCLUSIF - EACL

10Correction Action Plan (CAP) programProblems are identified and standardizedIndividuals are assigned to correct problemsTrends are identifiedSupports a strong reporting cultureLessons learned are sharedManagement oversight and engagement11Why ImpAct?ImpActAECL - OFFICIAL USE ONLY / USAGE EXCLUSIF - EACL

11Operability and reportability issues are addressedONE process for all problems

Problem IdentificationInitial Review & Approval (FLM)Remedial/ Compensatory ActionsManagement Review(MST and MRM)Cause AnalysisCorrective ActionsVerification & Effectiveness Review (MRM/IRB)Problems include events, non-conformances, issues, and needs for improvement.

They can also be identified in assessments, audits and program reviews.ImpAct Process12AECL - OFFICIAL USE ONLY / USAGE EXCLUSIF - EACLImprovement in Reporting Culture

AECL - OFFICIAL USE ONLY / USAGE EXCLUSIF - EACL13Reporting Culture by SL of events

AECL - OFFICIAL USE ONLY / USAGE EXCLUSIF - EACL14ImpAct Process Health Report15

AECL - OFFICIAL USE ONLY / USAGE EXCLUSIF - EACLAECL - OFFICIAL USE ONLY / USAGE EXCLUSIF - EACL15ImpAct Process Health Report Last 15 Months16

AECL - OFFICIAL USE ONLY / USAGE EXCLUSIF - EACLThe Human Performance Program17AECL - OFFICIAL USE ONLY / USAGE EXCLUSIF - EACLHuman Performance: Guiding PrinciplesOrganizational values influence individual behaviors

Performance is based on reinforcement and self-motivation

Recognition that people are fallible, and even the best make mistakes.

Error-likely situations are predictable and preventable, but only if we recognize them.

Events can be avoided by understanding past events (OPEX) and applying lessons learned.AECL - OFFICIAL USE ONLY / USAGE EXCLUSIF - EACL

1819Top 10 Error TrapsStressHigh work loadTime pressurePoor communicationsVague/poor work guidance OverconfidenceInfrequent or first time task DistractionsFirst working day following time off > 4 daysThe end of a shift or work cycle

All Feel the SamePut us in or keep us in Knowledge BasedAECL - OFFICIAL USE ONLY / USAGE EXCLUSIF - EACL

Program Advocates: Development StrategyAECL - OFFICIAL USE ONLY / USAGE EXCLUSIF - EACL20Act as informal leaders within their organizations, they use the language and model the desired behaviours.

Support managers and supervisors in implementing Human Performance by providing a ready resource when those leaders are uncertain or have questions of interpretation (Advocates are the first link in the help chain).

Established points of contact within the line organizations, they act as a resource for the Human Performance program, by:providing feedback to Human Performance branch about successes and challenges,representing their lines to assist in development (ensuring Human Performance program initiatives align with the needs of the line) and provide review and comment when Human Performance program elements are being revised, andacting as peer contacts for advocates in other lines, to allow sharing of ideas and experience.

Human Performance Advocates: RolesAECL - OFFICIAL USE ONLY / USAGE EXCLUSIF - EACL21Key Program Metric: Event Free Day Reset22

AECL - OFFICIAL USE ONLY / USAGE EXCLUSIF - EACLThink Human Performance.EFDR:Event Free Day Reset.YTD: 25Q4TD: 7Q3 Target: 5Fy 10-11 Target: